MEDICARE: RED SPRINGS HEALTH HOLDINGS, LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	310400000X	Assisted Living Facility	HAL-078-100	NC
2	343900000X	Non-emergency Medical Transport (VAN)
3	311ZA0620X	Adult Care Home Facility

General Provider Information

NPI Number	:	1952791873
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	RED SPRINGS HEALTH HOLDINGS, LLC

Provider Business Mailing Address
First Line	:	PO BOX 2568
Second Line	:
City	:	HICKORY
State	:	NC
Zip	:	28603-2568
Country	:	US
Telephone Number	:	828-261-7304
Fax Number	:

Provider Business Practice Location Address
First Line	:	104 HOPE LN
Second Line	:
City	:	RED SPRINGS
State	:	NC
Zip	:	28377-1961
Country	:	US
Telephone Number	:	910-843-1093
Fax Number	:

Authorized Official
Title or Position	:	MANAGER
Name	:	CHARLES E TREFZGER
Credential	:
Telephone Number	:	828-322-5535

Provider Enumeration Date	:	01/30/2015
Last Update Date	:	10/26/2021

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